Current jobs related to Sr Adjuster, Claims - Long Beach - Molina Healthcare


  • Long Beach, United States Elite Services Full time

    This position will be a remote position. Must have a California SIP (Workers Compensation - Sr. Work Comp Claims Adjuster) Must be Bilingual (English/Spanish)POSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines. DUTIES AND RESPONSIBILITIES: ...


  • Long Beach, United States Elite Services Full time

    This position will be a remote position. Must have a California SIP (Workers Compensation - Sr. Work Comp Claims Adjuster) Must be Bilingual (English/Spanish)POSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines. DUTIES AND RESPONSIBILITIES: ...


  • Long Beach, United States Sedgwick Claims Management Services Full time

    To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ES Workers Compensation, Claims, Adjuster, Worker, Compensation, Client Relations, Administrative, Insurance


  • Long Beach, United States TheBest Claims Solutions Full time

    Our client, is in need of a Temporary Workers' Compensation Claims Examiner for their Long Beach Office to work on a remote basis. The ideal candidate will have 3+ years of California Workers Compensation Experience.Required Qualifications:3+ years of experience handling Workers' Compensation claims in California.Ability to negotiate settlement of...


  • Long Beach, California, United States American Automobile Association Full time

    Property Field Claims Team MemberWe are seeking a skilled and customer-focused individual to join our Property Field Claims Team as a Property Field Claims Team Member. As a member of this team, you will play a vital role in providing an outstanding experience for our members by using your investigative, negotiation, and communication skills to help members...


  • Long Beach, California, United States Sedgwick Full time

    About the RoleSedgwick is seeking a skilled Workers Compensation Claims Adjuster to join our team. As a key member of our claims team, you will be responsible for analyzing and processing complex claims to ensure timely and accurate resolution.Key ResponsibilitiesAnalyze and process claims through well-developed action plans to achieve timely...

  • Claims Adjuster

    7 days ago


    Palm Beach, Florida, United States Tower Hill Insurance Group Full time

    Job Title: Field Claims RepresentativeTower Hill Insurance Group is seeking a skilled Field Claims Representative to join our team in Southwestern and Southeastern Florida Regions. As a Field Claims Representative, you will play a critical role in reviewing and analyzing first- and third-party homeowners claims to determine the extent of insurance carrier's...

  • Claims Adjuster

    4 weeks ago


    Long Beach, United States TAJ Technologies Inc Full time

    Description: Remote - Candidate has to be in CA. Min 5 years of CA claims handling experience is mandatory. SIP is preferred. PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of...


  • West Palm Beach, United States TheBest Claims Solutions Full time

    Our client is looking to add a General Liability Claims Adjuster to their team. This position would be responsible for handling both Litigated and Non-Litigated General Liability claims from inception to close. This position is fully in-office, with some local traveling required.Required Qualifications:4+ years experience handling General Liability...


  • Virginia Beach, Virginia, United States Capstone ISG Inc Full time

    Job SummaryCapstone ISG Inc. is a leading independent adjustment firm seeking a highly motivated and experienced Senior Property Claims Adjuster to join our team. As a key member of our team, you will be responsible for examining and adjusting commercial and personal lines property loss claims with minimal supervision.Key ResponsibilitiesExamine and apply...


  • Virginia Beach, Virginia, United States Capstone ISG Inc Full time

    Job OverviewCapstone ISG Inc. is recognized as one of the leading Independent Adjustment firms in the nation. As we expand our operations, we seek individuals who are motivated and possess a strong commitment to achieving results. Our team is dedicated to exceptional customer service and fostering a rewarding work environment. Join us in our growth...


  • Long Beach, California, United States VirtualVocations Full time

    VirtualVocations is seeking a highly skilled Claims Representative Sr to provide exceptional customer service to customers and retailer partners. The ideal candidate will possess strong communication skills, attention to detail, and the ability to manage multiple claims simultaneously. Key Responsibilities: \tManage inbound customer and retailer inquiries...


  • Long Beach, United States AAA - The Automobile Club Full time

    Investigate, evaluate and determine coverage onsite to resolve moderate to severe complexity claims; including preparing complete estimates of repair for covered damages. Handle moderate to severe complexity claims assigned with little supervision. W Field, Adjuster, Property, Claims, Customer Experience, Insurance, Business Services


  • Huntington Beach, United States BJ's Restaurants Full time

    Overview: At BJ’s Restaurants, we serve our award-winning craft beer, a Southern California twist on deep dish pizza, the world-renowned dessert – the Pizookie, and much more. BJ’s is a $1 billion public restaurant company and a growth concept with a winning track record of introducing new on-trend menu offerings and opening new restaurants. We offer...


  • Huntington Beach, United States BJ's Restaurants Full time

    Overview: At BJ’s Restaurants, we serve our award-winning craft beer, a Southern California twist on deep dish pizza, the world-renowned dessert – the Pizookie, and much more. BJ’s is a $1 billion public restaurant company and a growth concept with a winning track record of introducing new on-trend menu offerings and opening new restaurants. We offer...


  • Huntington Beach, United States BJ's Restaurants Full time

    Overview: At BJ’s Restaurants, we serve our award-winning craft beer, a Southern California twist on deep dish pizza, the world-renowned dessert – the Pizookie, and much more. BJ’s is a $1 billion public restaurant company and a growth concept with a winning track record of introducing new on-trend menu offerings and opening new restaurants. We offer...


  • Huntington Beach, United States BJ's Restaurants Full time

    Overview: At BJ’s Restaurants, we serve our award-winning craft beer, a Southern California twist on deep dish pizza, the world-renowned dessert – the Pizookie, and much more. BJ’s is a $1 billion public restaurant company and a growth concept with a winning track record of introducing new on-trend menu offerings and opening new restaurants. We offer...


  • West Palm Beach, United States Elite Full time

    Job DescriptionJob DescriptionPosition: Sr. Auto/General Liability Claims ExaminerType: Direct HireLocation: Onsite in West Palm Beach, Florida (Zip Code: 33406)POSITION SUMMARY: Under minimal supervision manages all aspects of automobile, general liability, and first-party property claims, handling from inception to conclusion within established authority...


  • Virginia Beach, Virginia, United States Capstone ISG Inc Full time

    Position OverviewCapstone ISG Inc is recognized as one of the leading Independent Adjustment firms in the industry. As we expand our operations, we seek individuals who bring creativity and a strong commitment to achieving results. Our team is dedicated to providing exceptional customer service and fostering a positive work environment.We are inviting...


  • Long Beach, California, United States VirtualVocations Full time

    VirtualVocations is seeking a skilled Claims Resolution Specialist to join our team. As a Claims Resolution Specialist, you will be responsible for assisting customers with navigating auto loss claims through effective communication. You will conduct thorough investigations and assess claims to determine coverage and negotiate settlements. Additionally, you...

Sr Adjuster, Claims

5 months ago


Long Beach, United States Molina Healthcare Full time

**Job Description**

**Job Summary**

Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims. Ensures that claims are settled in a timely fashion and in accordance with cost control standards.

**Knowledge/Skills/Abilities**

Leads overall performance accountability (attendance, communication, flexibility, adaptability, interpersonal skills, teamwork and cooperation).

Researches tracers, adjustments, and re-submissions of more complex claims.

Adjudicates or re-adjudicates high volume of claims in a timely manner to ensure compliance to departmental turn-around time and quality standards.

Manages defect reduction by identifying and communicating error issues and potential solutions to management.

Handles special projects as assigned and required by changes in claims payment policies or contracting methodologies.

Meets department quality and production standards..

**Job Qualifications**

**Required Education**

Associate's Degree or equivalent combination of education and experience

**Required Experience**

3-5 years

**Preferred Education**

Bachelor's Degree or equivalent combination of education and experience

**Preferred Experience**

5-7 years

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

**Job Type:** Full Time **Posting Date:** 01/31/2022 **ABOUT OUR LOCATION**